Sustainable Healthcare – can the community help provide solutions? College of Medicine Student...
-
Upload
garey-patterson -
Category
Documents
-
view
213 -
download
0
Transcript of Sustainable Healthcare – can the community help provide solutions? College of Medicine Student...
![Page 1: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/1.jpg)
Sustainable Healthcare – can the community help provide solutions?
College of Medicine Student Summer School
4th September 2015Norwich Research Park, Norwich, Norfolk
Dr Michael DixonChair of Council
College of Medicine
![Page 2: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/2.jpg)
2
![Page 3: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/3.jpg)
3
“The greatest single advance in medicine will not be some new drug or procedure but an increased ability
of patients to care for themselves”
Ivan Illich“Medical Nemesis”
![Page 4: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/4.jpg)
“It will always be a struggle if we continue with an overemphasis on mechanistic and technological
approaches”.
HRH The Prince of Wales“Integrated health and post modern medicine” Journal of the Royal Society of Medicine 2012
![Page 5: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/5.jpg)
“The integrated approach takes what we know about appropriate, conventional, lifestyle and complementary
approaches and applies them to patients”.
HRH The Prince of Wales“Integrated health and post modern medicine” Journal of the Royal Society of Medicine 2012
![Page 6: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/6.jpg)
6
“The future needs to be a future that empowers patients to take much more control over their own care and treatment”.
NHS Five Year Forward View 2015
![Page 7: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/7.jpg)
7
“The future health of millions of children, the sustainability of the NHS, the economic prosperity of Britain all now depend on a radical upgrade in prevention and public health”.
NHS Five Year Forward View 2015
![Page 8: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/8.jpg)
“Evidence shows that when patients are involved in decisions abut their health and care the decisions are better, health outcomes improve, and resources are allocated more efficiently”.
King’s Fund Report November 2014“The State of Involvement”
![Page 9: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/9.jpg)
9
“Our present society wastes and, by the slow draining process of enforced hypocrisy, empties most of the lives
that it does not destroy. A doctor who has surpassed the stage of selling cures
is unassessable”.
“A Fortunate Man” John Berger and Jean Mohr
![Page 10: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/10.jpg)
10
![Page 11: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/11.jpg)
11
![Page 12: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/12.jpg)
12
![Page 13: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/13.jpg)
13
![Page 14: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/14.jpg)
14
![Page 15: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/15.jpg)
15
![Page 16: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/16.jpg)
![Page 17: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/17.jpg)
17
![Page 18: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/18.jpg)
18
![Page 19: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/19.jpg)
19
![Page 20: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/20.jpg)
20
![Page 21: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/21.jpg)
21
![Page 22: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/22.jpg)
22
![Page 23: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/23.jpg)
23
![Page 24: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/24.jpg)
24
![Page 25: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/25.jpg)
25
![Page 26: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/26.jpg)
26
![Page 27: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/27.jpg)
27
![Page 28: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/28.jpg)
28
![Page 29: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/29.jpg)
29
Preliminary results on the use of a “Facilitated Social Prescription” to improve the health outcomes for those with Type 2 Diabetes and
those at risk of Diabetes
April 2015
![Page 30: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/30.jpg)
30
*
*
*
Average (+/-SE) HbA1c levels over time
* Significant reduction relative to baseline (p≤0.05), 6 + 9 m data not complete.
![Page 31: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/31.jpg)
31
*
*
Weight change over time (average +/-SE)
* Significant reduction relative to baseline (p≤0.05), 6 + 9 m data not complete.
![Page 32: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/32.jpg)
32
* *
Waist circumference over time (average +/-SE)
* Significant reduction relative to baseline (p≤0.05), 6 + 9 m data not complete.
![Page 33: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/33.jpg)
33
* *
*
Average (+/-SE) Quality of Life Score (EQ5D)
* Significant increase relative to baseline (p≤0.05), 6 + 9 m data not complete.
![Page 34: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/34.jpg)
34
![Page 35: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/35.jpg)
35
![Page 36: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/36.jpg)
36
![Page 37: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/37.jpg)
37
![Page 38: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/38.jpg)
38
![Page 39: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/39.jpg)
39
![Page 40: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/40.jpg)
The Green Dreams Project CIC
Dr James Fleming MBChB MSc FRCGP
www.greendreamsproject.co.uk
Supported by:
![Page 41: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/41.jpg)
41
![Page 42: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/42.jpg)
42
“We need to engage the communities and citizens in new ways building on the energy and compassion that exists in communities across England through better support for carers; creating new options for health related volunteering and designing easier ways for voluntary organisations to work alongside the health service”.
NHS Five Year Forward View 2015
![Page 43: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/43.jpg)
“We know that alienated and uncaring communities adversely affect the health and
wellbeing of those living in them. Conversely, current evidence suggests that if you try to
tackle some of those admittedly deep seated problems, not only do you begin to witness
improvements in health and other inequalities, but this can lead to improvements in the overall
cost efficiency and effectiveness of local services”.
HRH The Prince of Wales“Integrated health and post modern medicine” Journal of the Royal Society of Medicine 2012
![Page 44: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/44.jpg)
44
![Page 45: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/45.jpg)
45
ASSET-BASED COMMUNITY DEVELOPMENT
Harnessing social networks –
• Statutory services become more responsive• Promotes health protection and community resilience • Helps tackle health inequalities• Has an impact on behaviour change• Saves money
www.healthempowerment.co.uk
![Page 46: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/46.jpg)
46
SOCIAL NETWORKS REDUCE MORTALITY RISK
• 50 % increased likelihood of survival for people with stronger social relationships .
• Comparable with risks such as smoking, alcohol, BMI and physical activity.
• Consistent across age, sex, cause of death.
• 2010 meta-analysis of data [1] across 308,849 individuals, followed for an average of 7.5 years 1] Social relationships and mortality risk: a meta-analytic review. Holt-Lunstadt, Smith, Bradley Layton.Plos Medicine July 2010, Vol 7, Issue 7. www.plosmedicine.org doi:10.1371/journal.pmed.1000316
![Page 47: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/47.jpg)
47
![Page 48: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/48.jpg)
48
![Page 49: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/49.jpg)
49
Well North, a Public Health England initiative to improve the health of the underprivileged across the North of England.
![Page 50: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/50.jpg)
50
![Page 51: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/51.jpg)
51
![Page 52: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/52.jpg)
52
![Page 53: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/53.jpg)
53
Green Gym
![Page 54: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/54.jpg)
54
![Page 55: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/55.jpg)
55
![Page 56: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/56.jpg)
56
![Page 57: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/57.jpg)
57
“For all the major health risks – including tobacco, alcohol, junk food and excess sugar – we will actively support comprehensive, hard hitting and broad based national action to include clear information on labelling, targeted personal support and wider changes to distribution, marketing, pricing and product formulation”.
NHS Five Year Forward View 2015
![Page 58: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/58.jpg)
58
![Page 59: Sustainable Healthcare – can the community help provide solutions? College of Medicine Student Summer School 4 th September 2015 Norwich Research Park,](https://reader035.fdocuments.net/reader035/viewer/2022070410/56649ebb5503460f94bc2b5c/html5/thumbnails/59.jpg)
59
59